Work

Constraint-induced movement therapy early after stroke improves rate of upper limb motor recovery but not long-term motor function [synopsis]

Year: 2015

Type: article

Abstract: Does modified constraint-induced movement therapy improve arm motor function in people within 4 weeks after stroke?Design: Multisite, randomised, controlled trial with blinded outcome assessment at baseline, after 2[ 1 _ T D $ D I F F ] weeks of intervention and at 6-month follow-up.Setting: Five hospitals in Norway.Participants: Inclusion criteria were: individuals within 5-26 days after stroke with unilateral arm or hand paresis, and being able to lift two fingers or extend the wrist at least 10 [ 2 _ T D $ D I F F ] deg from full flexion.Key exclusion criteria were: a Modified Rankin Scale > 4, a prior stroke affecting the upper extremity, and a life expectancy < 1 year.Randomisation of 47 participants allocated 24 to the intervention group and 23 to the control group.Interventions: The intervention group received constraint-induced movement therapy for 3 hours/ day for 10 consecutive workdays; a mitt was worn on the unaffected upper limb for up to 90% of waking hours.The control group received standard care according to guidelines.Participants in both groups received other multidisciplinary care as needed.Outcome measures: The primary outcome measure was the Wolf Motor Function Test of arm function at 6-months post intervention.Secondary outcome measures were: the Fugl-Meyer upper extremity motor

Source: Journal of physiotherapy

DOI: 10.1016/j.jphys.2015.02.004

Author: Prudence Plummer

Institution: University of North Carolina at Chapel Hill

Language: English

Topic: Stroke Rehabilitation and Recovery

Subfield: Rehabilitation

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,450